| NPI | 1932209061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 33435) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI CG011459) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-06-07 |